36D0938825 CLIA NUMBER - PREMIER PHYSICIANS CENTERS

Laboratory Demographics

  • CLIA Code: 36D0938825
  • Facility Name: PREMIER PHYSICIANS CENTERS
  • Facility Address: 18660 BAGLEY ROAD SUITE 102-B
    MIDDLEBURG HEIGHTS, OH
    ZIP 44130
  • Facility Phone: 440 891-9395
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ISAM DIAB
  • NPI Number: 1104412477
  • Taxonomy: 261QS1200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D0938825
LAB Type Physician Office
Facility Name PREMIER PHYSICIANS CENTERS
Street 18660 BAGLEY ROAD SUITE 102-B
City MIDDLEBURG HEIGHTS
State OH
ZIP 44130
Phone 440 891-9395
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2024
Certificate Expiration Date 1/14/2026
Facility Type Physician Office
Lab Director ISAM DIAB

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This page was last updated on: 9/29/2025